| NPI | 1578360301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F02250336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038688) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-05-08 |