| NPI | 1083315170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 230731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL aprn11022660) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-12-31 |