| NPI | 1841761830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30503) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2026-05-20 |