| NPI | 1124797154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11015454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015454) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9279902) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-07-25 |