| NPI | 1598402752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 293406) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2026-01-05 |