| NPI | 1174370100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11033707) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11033707) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9529939) | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-09-18 |