| NPI | 1740784016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9364011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002859) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-05-05 |