| NPI | 1528724853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL F10211085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016660) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-09-07 |