| NPI | 1801756820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043814) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9588752) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2026-01-21 |