| NPI | 1861380321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035592) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2026-05-29 |