| NPI | 1851878136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9312954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9312954) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-01-13 |