| NPI | 1548040207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GU 100414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028422) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-09-16 |