| NPI | 1053985598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9443118) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-09-27 |