| NPI | 1558044552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025927) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL APRN11025927) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-02-20 |