| NPI | 1053894170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9388566) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9388566) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-02-12 |