| NPI | 1043694128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9184278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001349) |
| 363L00000X Nurse Practitioner (Licence: TX AP145344) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-10-10 |