| NPI | 1013790922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9517284) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-12-12 |