| NPI | 1023756897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019171) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 9374806) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11019171) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-03-11 |