| NPI | 1659181998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11037421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9435165) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11037421) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-03-04 |