| NPI | 1992396279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9295765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11011066) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: FL RN9295765) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-07-12 |