| NPI | 1992115042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R147717) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2026-08-07 |