| NPI | 1780208090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021987) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-08-09 |