| NPI | 1598684052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11049024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9652241) |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-10 |