| NPI | 1659034668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL F10210675) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2022-10-27 |