| NPI | 1699207142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9370290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9370290) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9370290) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-03-26 |