| NPI | 1801987235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1161842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1161842) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2026-02-08 |