| NPI | 1124799663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11041021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9452667) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-08-20 |