| NPI | 1710414966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9284758) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9284758) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-02-23 |