| NPI | 1649039736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11031544) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 11031544) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2026-01-19 |