| NPI | 1720812019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022832) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2024100852) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-04-13 |