| NPI | 1093399958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN110105054) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 254812) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11015054) | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-10-19 |