| NPI | 1144815408 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171694) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009656) | 
| Enumeration Date | 2021-03-08 | 
| Last Update Date | 2025-08-06 |