| NPI | 1164923223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196903) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2026-04-09 |