| NPI | 1437753118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11010217) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163WG0000X Registered Nurse, General Practice (Licence: FL 11010217) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-03-05 |