| NPI | 1639969728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11038125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11038125) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-07-08 |