| NPI | 1295474633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020495) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163W00000X Registered Nurse (Licence: FL RN9410355) | |
| 163WE0003X Registered Nurse, Emergency (Licence: FL RN9410355) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11020495) | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-06-26 |