| NPI | 1972213346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11023209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9351218) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-29 |