| NPI | 1093373771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11002976) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9436706) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11002976) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-11-18 |