| NPI | 1396368502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9330421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006797) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |