| NPI | 1366861924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R089066) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2026-04-06 |