| NPI | 1801366984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014556) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2026-02-14 |