| NPI | 1598306029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023433) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9465387) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2025-11-14 |