| NPI | 1598387136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11008819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9276994) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2021-08-23 |