| NPI | 1346850765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11015549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9496163) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2022-06-02 |