| NPI | 1043759103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP9280717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9280717) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-03-29 |