| NPI | 1497422331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25166) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 253956) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-10-29 |