| NPI | 1235764507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003596) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9394572) | |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2022-04-07 |