| NPI | 1073269858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11019630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9437207) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-02-07 |