| NPI | 1760820377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013921) |
| Additional Taxonomies | 104100000X Social Worker |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 13135) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2025-03-12 |