| NPI | 1386586774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11048985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9568800) |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-07-09 |