| NPI | 1801685953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10054954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 11762594-4405) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-12-30 |