| NPI | 1023885944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F10230593) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-05-14 |