| NPI | 1992296719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9360321) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2026-03-25 |