| NPI | 1225640063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008798) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 2020002972) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-26 |