| NPI | 1720927429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9453960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11047267) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-06-24 |