| NPI | 1598362006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009963) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9264257) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-12-01 |