| NPI | 1437971843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11035998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9569778) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |