| NPI | 1891673331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 908145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 914185) |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2026-06-02 |