| NPI | 1972100600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9466386) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-03-16 |