| NPI | 1760953871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10047689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000530) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 234345) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-09-10 |