| NPI | 1518577006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9251665) |
| 363L00000X Nurse Practitioner (Licence: FL 11001250) | |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2021-10-01 |