| NPI | 1558956771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9490058) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-09-23 |