| NPI | 1104375641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9491826) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: FL RN9491826) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2023-03-02 |