| NPI | 1851394274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3233312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 31407) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023999) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2026-03-13 |