| NPI | 1275289837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9398583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN110020973) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-10-23 |