| NPI | 1477168011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11013694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9194) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-06-01 |