| NPI | 1982270674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11016021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP023782) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp023782) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11016021) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-01-21 |