| NPI | 1326916875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9297117) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-03-19 |