| NPI | 1932097755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11035432) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2026-03-03 |