| NPI | 1962165217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033481) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11033481) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP024558) | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2025-03-10 |