| NPI | 1023298924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2161782) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL 2161782) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2022-06-08 |