| NPI | 1386234649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9211958) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL 513998) |
| 163W00000X Registered Nurse (Licence: FL 9211958) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |