| NPI | 1104188549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN2053222) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2053222) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP2053222) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-08-28 |