| NPI | 1992396279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9295765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9295765) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011066) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2025-06-29 |