| NPI | 1477146850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014103) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01210719) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2025-03-25 |