| NPI | 1750758116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11049759) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9669661) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2026-08-03 |