| NPI | 1669049375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013990) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9311817) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-07-01 |