| NPI | 1851763288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007317) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9292552) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2026-04-09 |