| NPI | 1487366472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023697) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2026-05-13 |