| NPI | 1063885234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11005535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 695984) |
| 163W00000X Registered Nurse (Licence: FL 9422568) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2020-01-02 |