| NPI | 1457113185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F01240860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11031351) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-06-27 |