| NPI | 1124639539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007853) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027040) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11007853) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-10-04 |