| NPI | 1942749627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9320351) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN9320351) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2025-11-26 |