| NPI | 1992270839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11000162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9335665) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2023-03-07 |