| NPI | 1508581059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020125) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9370318) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-01-10 |