| NPI | 1902401557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011293) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9231690) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-03-14 |