| NPI | 1801377080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11048130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8568-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 8568-33) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2026-07-31 |