| NPI | 1174369334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11047637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9534444) |
| Enumeration Date | 2024-07-06 |
| Last Update Date | 2026-08-23 |