| NPI | 1306459243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11011566) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9436492) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2021-02-16 |