| NPI | 1184597288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 235311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R101963) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-11-17 |