| NPI | 1487028122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL aprn11014054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9373245) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-04-19 |