| NPI | 1750716197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9361014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10048117) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2025-08-11 |