| NPI | 1518656321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9465128) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2023060041) | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2025-06-24 |