| NPI | 1124599097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9211503) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11000123) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11000123) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-01-09 |