| NPI | 1508891722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9355475) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND4697) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-06-21 |