| NPI | 1821504010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 77249) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2025-03-07 |