| NPI | 1396586442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11040043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9684963) |
| 163W00000X Registered Nurse (Licence: NJ 26NR18865700) | |
| 163W00000X Registered Nurse (Licence: LA 230421) | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-07-29 |