| NPI | 1912279852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9308987) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2016-08-04 |