| NPI | 1235810912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1129823) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP251516) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-10-14 |