| NPI | 1891301164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11016381) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN205003) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-09-05 |