| NPI | 1427995349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 908438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 914162) |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-05-22 |