| NPI | 1457134991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187809) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2025-07-14 |