| NPI | 1902413636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11013082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9573407) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2024-05-27 |