| NPI | 1013798925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11028612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11028612) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2025-05-01 |