| NPI | 1922592633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9320422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9320422) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2025-08-27 |