| NPI | 1225775729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019694) |
| 163W00000X Registered Nurse (Licence: FL 9314399) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-03-07 |