| NPI | 1225305774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R118804) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95039717) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2026-07-24 |