| NPI | 1033741491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1005284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005284) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-08-15 |