| NPI | 1760941520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3085172) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001781) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-07-18 |