| NPI | 1619612157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020810) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9348850) |
| 363L00000X Nurse Practitioner (Licence: FL 11020810) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-08-17 |