| NPI | 1154035996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11023993) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9468638) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-20 |