| NPI | 1720566482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9328758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-158696) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2026-07-03 |