| NPI | 1477056976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3329912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3329912) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-06-22 |