| NPI | 1902594559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11026738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9490966) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-06-14 |