| NPI | 1356975734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11016833) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-03-20 |