| NPI | 1376369934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11037072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037072) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9612658) | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2025-03-04 |