| NPI | 1821969858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044698) |
| Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: FL rn9264871) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-01-07 |