| NPI | 1013642594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9399214) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-01-17 |