| NPI | 1538772967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010556) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL RN9356416) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11010556) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9356416) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-01-14 |