| NPI | 1881227908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ F07202060) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2025-10-24 |