| NPI | 1023764289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 221653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024183412) |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2025-05-20 |