| NPI | 1770960353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9326915) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2022-05-31 |