| NPI | 1649939844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031190) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL 9183921) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: FL 9183921) | |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: FL 9183921) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031190) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2024-02-12 |