| NPI | 1659176758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11038102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833543) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-12-11 |