| NPI | 1992683437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11042242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28265266C) |
| 363L00000X Nurse Practitioner (Licence: FL 11042242) | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-10-15 |