| NPI | 1285234203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013739) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-12-03 |