| NPI | 1801266416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11033973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9413785) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2024-08-11 |