| NPI | 1417726381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 669494) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL 669494) |
| 363L00000X Nurse Practitioner (Licence: FL 669494) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL 669494) | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |