| NPI | 1699369645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014172) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 245136) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2026-05-04 |