| NPI | 1699408492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 277459) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-05-23 |