| NPI | 1043593197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1372602) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN1372602) |
| 363LF0000X Nurse Practitioner Family (Licence: SC 18636) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN1372602) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1372602) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2020-07-01 |