| NPI | 1063710564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11001744) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A03503 ANP) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2025-10-31 |