| NPI | 1386411403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032834) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9387086) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2026-08-28 |