| NPI | 1518535632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043725) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-12-09 |