| NPI | 1548932486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9504299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036017) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-10-22 |