| NPI | 1144083551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028247) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2026-05-19 |