| NPI | 1326734880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11025841) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL 11025841) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-10-29 |