| NPI | 1376439679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1042838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9330390) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-10-10 |