| NPI | 1922050129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3168072) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL arnp3168072) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2026-03-03 |