| NPI | 1033654678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9428886) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001478) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2023-11-30 |