| NPI | 1104349679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11002906) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 364129) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-04-20 |