| NPI | 1972322527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11036063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9421643) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-11-12 |