| NPI | 1023615903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11022275) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9464067) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-03-13 |