| NPI | 1437958923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11038085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 838670) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-10-28 |