| NPI | 1205567427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11020160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9268224) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |