| NPI | 1417628934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11015733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9438822) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-06-14 |