| NPI | 1912154477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2943222) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2943222) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN2943222) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2022-04-22 |