| NPI | 1669233821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188968) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-08-05 |