| NPI | 1376131227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019996) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209022453) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN305653) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2026-08-14 |