| NPI | 1023870441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030576) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2026-01-05 |