| NPI | 1881260602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11012657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11012657) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-07-14 |