| NPI | 1447999198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11019845) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019845) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2026-03-04 |