| NPI | 1013674423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016295) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2025-10-10 |