| NPI | 1730959065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11042162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9660989) |
| 183500000X Pharmacist (Licence: FL ps66327) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-10-02 |