| NPI | 1518503796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11015368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9308857) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-03-23 |