| NPI | 1023731908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A170279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025948) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-06-17 |