| NPI | 1285273995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005269) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: FL APRN11005269) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2025-11-07 |