| NPI | 1811743644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001288431) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-06-25 |