| NPI | 1558923920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9233692) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9233692) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-03-26 |