| NPI | 1902508351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024718) |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics (Licence: FL 2085R0205X) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024718) | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-08-18 |