| NPI | 1588335327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11006605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1271012) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-10-06 |