| NPI | 1891513958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL F01250072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9539380) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-01-07 |