| NPI | 1154159937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9488748) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11034326) | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-09-16 |