| NPI | 1699435651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11016102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248392) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 109419) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-03-18 |