| NPI | 1649018839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9487752) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-10-02 |