| NPI | 1699553123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029012) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9538599) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-10-25 |