| NPI | 1821549304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9308684) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9308684) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2026-06-01 |