| NPI | 1750938924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11003719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003719) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11003719) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-04-17 |