| NPI | 1952930687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11023132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9502363) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2022-12-05 |