| NPI | 1194448167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11022017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11022017) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-03-19 |