| NPI | 1659870905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11003569) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN263743) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-05-13 |