| NPI | 1659017309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9460904) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020406) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-11-07 |