| NPI | 1699189571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-190924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R879974) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-08-26 |