| NPI | 1982103222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9384780) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9384780) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2024-03-27 |