| NPI | 1316695935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11012722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F03210438) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2023-03-15 |