| NPI | 1801196191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60971514) |
| 363L00000X Nurse Practitioner (Licence: AL 1-028506) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-03-06 |