| NPI | 1710330733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9257624) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND 200493) |
| 363L00000X Nurse Practitioner (Licence: MT 257346) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2025-03-12 |