| NPI | 1326802117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 11030486) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11030486) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-26 |