| NPI | 1083252399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004310) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9365457) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11004310) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2023-04-28 |