| NPI | 1609581461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11037025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9592933) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-01-13 |