| NPI | 1104504703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029059) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11029059) |
| 163W00000X Registered Nurse (Licence: FL RN9559085) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-03-20 |