| NPI | 1174160998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028926) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R240797) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R240797) | |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2024-04-10 |