| NPI | 1821767286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F10220784) |
| 163W00000X Registered Nurse (Licence: FL rn9490583) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-08-13 |