| NPI | 1396125241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030082) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11030082) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2025-09-22 |