| NPI | 1275955148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9336836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9336836) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9336836) | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2026-03-26 |