| NPI | 1295218048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9338359) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9338359) |
| 363L00000X Nurse Practitioner (Licence: MA RN2340344) | |
| 363L00000X Nurse Practitioner (Licence: NH 089604-23) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-02-28 |