| NPI | 1447954557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 88087) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN79840) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-02-27 |