| NPI | 1962276725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023803) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9364079) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |