| NPI | 1629436282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9248510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9248510) |
| 202D00000X Integrative Medicine (Licence: FL APRN9248510) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2023-08-02 |