| NPI | 1598586430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11035529) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11035529) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-22 |