| NPI | 1578234282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11043850) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 21-553) |
| 163W00000X Registered Nurse (Licence: FL 9665687) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-11-21 |