| NPI | 1740932359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018840) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9444207) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-08-01 |