| NPI | 1467932525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 2929342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2929342) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2026-06-18 |