| NPI | 1982204541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11009992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARPN11009992) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2021-01-21 |