| NPI | 1588295901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11009812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9294981) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11009812) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2023-02-28 |