| NPI | 1659228617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9583462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046170) |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-18 |