| NPI | 1205588803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-123835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017793) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2025-04-09 |