| NPI | 1740898063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A159712) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2026-07-14 |