| NPI | 1588361034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025471) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9496399) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-03-06 |