| NPI | 1417836024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-171727) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |