| NPI | 1619522174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9278897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95025111) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-05-09 |