| NPI | 1639797426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARPN11009457) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009457) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9435328) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-07-20 |