| NPI | 1932899739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3904-0) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-02-25 |