| NPI | 1417558982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11023376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9355479) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-08-08 |