| NPI | 1730540493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN3172482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3172482) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-05-16 |