| NPI | 1487142618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11040924) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN244184) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-07-22 |