| NPI | 1154269173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11046120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9443642) |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |