| NPI | 1881499721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11037858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9537897) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-04-23 |