| NPI | 1184269649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004997)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11004997)  | 
| Enumeration Date | 2019-11-08 | 
| Last Update Date | 2019-12-27 |