| NPI | 1245002823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11050500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2344994) |
| 163W00000X Registered Nurse (Licence: FL 9694929) | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2026-09-01 |