| NPI | 1235987041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A179076) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SD CP003535) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-08-25 |