| NPI | 1053977538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002150) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL RN9283771) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-07-12 |