| NPI | 1811537855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9292841) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-02-12 |