| NPI | 1801340823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11019894) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 320469-4408) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2022-11-03 |