| NPI | 1093255697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28213851A) |
| 163W00000X Registered Nurse (Licence: FL RN9451673) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2024-02-22 |