| NPI | 1255163143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11034500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9521736) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |