| NPI | 1932871076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015743) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9251486) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN11015743) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-11-26 |