| NPI | 1750743308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008462) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-03-11 |