| NPI | 1487377347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022021665) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-06-11 |