| NPI | 1356825749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-113285) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2025-08-25 |