| NPI | 1164922811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002579) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9319063) |
| 363L00000X Nurse Practitioner (Licence: FL 11002579) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-07-07 |