| NPI | 1811599822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009570) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2026-08-07 |