| NPI | 1073868303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11012640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001228415) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-01-14 |