| NPI | 1669151114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11028217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9469540) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-02-29 |