| NPI | 1083002828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9279291) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL ARNP 9279291) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2021-05-24 |