| NPI | 1497453443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 11024692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9338336) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-06-27 |