| NPI | 1083177539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11050329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9640271) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 19-171) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-08-24 |