| NPI | 1962964007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5015182) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001374) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001374) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2023-05-02 |