| NPI | 1083984306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019016553) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11019207) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019016553) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2022-07-26 |