| NPI | 1265060297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11005351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11005351) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-05-12 |