| NPI | 1528611357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23055) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2025-02-20 |