| NPI | 1881212322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008986) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL 9318692) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11008986) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-07-16 |