| NPI | 1811868623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027852) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL 11027852) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027852) | |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-10-16 |