| NPI | 1700539020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038857) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9469246) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-04-11 |