| NPI | 1740901180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11020231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 262904) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-11-06 |