| NPI | 1578179453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009458) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9439170) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009458) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-09-28 |