| NPI | 1821749235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11035209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9504839) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-01-08 |