| NPI | 1932915170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2024058718) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-10-31 |