| NPI | 1740946821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11016544) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9409943) |
| 208600000X Surgery (Licence: FL APRN11016544) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-01-20 |