| NPI | 1174194153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11014174) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11014174) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11014174) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-11-17 |