| NPI | 1750679304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030670) |
| 163WC0400X Registered Nurse, Case Management (Licence: FL 9223569) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2026-01-16 |