| NPI | 1699171892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 002134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN94110049) |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2025-02-18 |