| NPI | 1750971933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN10012198) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11009447) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009447) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-08-26 |