| NPI | 1518682079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11036614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9315668) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2024-12-26 |