| NPI | 1598353542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010681) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL aprn11010681) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-04-25 |