| NPI | 1427911320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD 200461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11050419) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A188245) | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-09-15 |