| NPI | 1558122788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11030755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9460681) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-04-06 |