| NPI | 1164137675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11036783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9427318) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11036783) | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2025-03-28 |