| NPI | 1588446926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11029055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9514746) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-04-10 |