| NPI | 1639973258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 884728) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F356204) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-08-19 |