| NPI | 1619541109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010601) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL RN9299813) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-07-09 |