| NPI | 1164019774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9260330) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11011834) | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-08-05 |