| NPI | 1235804899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014413) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11014413) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2025-08-12 |