| NPI | 1629848676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11030556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9441214) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2025-04-21 |