| NPI | 1912454828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143648) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2025-06-09 |