| NPI | 1770689754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP 2518182) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2518182) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2518182) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 2518182) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-09-11 |