| NPI | 1831566181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9330052) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 247616) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2018-07-10 |