| NPI | 1922695964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 913842) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-03-21 |