| NPI | 1487369112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025742) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD10454) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: FL RN9275098) | |
| 163WE0003X Registered Nurse, Emergency (Licence: FL RN9275098) | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-04-12 |