| NPI | 1699288845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9361181) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9361181) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-05-15 |