| NPI | 1962127100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11022447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 726902) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-09-26 |