| NPI | 1295246957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GU NP0243) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-10-09 |