| NPI | 1386281194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11038463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9620188) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 19-492) | |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2025-04-03 |