| NPI | 1174122071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024312) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN9238970) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11024312) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-02-23 |