| NPI | 1427730282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11031039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9487766) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-11-18 |