| NPI | 1003362278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9301135) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-01-24 |