| NPI | 1316712953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11029404) |
| Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control (Licence: FL APRN11029404) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-04-18 |