| NPI | 1659252518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11042311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9654754) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-22 |