| NPI | 1427840149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5023258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30200) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-10-13 |