| NPI | 1457066110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11035285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9470896) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-11-08 |