| NPI | 1467253393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11045831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN333055) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-03-05 |