| NPI | 1114791936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11029780) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9433760) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-17 |