| NPI | 1265320352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 202915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND TEMP202915) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-10-13 |