| NPI | 1942966924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5015337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015337) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2025-04-24 |