| NPI | 1376422527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11043308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9668455) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-12-05 |