| NPI | 1164132999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11023441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9463173) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-08-08 |