| NPI | 1912581935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007846) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN11007846) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2025-11-24 |