| NPI | 1841032422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 36463) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-03-03 |