| NPI | 1083207211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9423210) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-10-13 |