| NPI | 1780277897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9420070) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-08-01 |