| NPI | 1033625900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F11170711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9345651) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2025-04-07 |