| NPI | 1588350326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9467689) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-05-12 |