| NPI | 1083011480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 5987-PA) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9298723) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2026-02-18 |