| NPI | 1902628605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11035184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035184) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-06-02 |