| NPI | 1710340583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010499) |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse (Licence: FL rn9492562) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-05-24 |