| NPI | 1922806033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9323208) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11039705) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-10-24 |