| NPI | 1720784614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9495735) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-03-18 |