| NPI | 1285866517 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9204097)  | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9204097)  | 
| Enumeration Date | 2009-08-20 | 
| Last Update Date | 2025-08-11 |