| NPI | 1154756393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9222846) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9222846) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2024-04-03 |