| NPI | 1487365078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11023350) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 3270772) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-01-24 |