| NPI | 1235883240 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11027471) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9427324) | 
| Enumeration Date | 2022-02-08 | 
| Last Update Date | 2024-05-23 |