| NPI | 1235916073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11026914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 230903) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 230903) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11026914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 230903) | |
| 207P00000X Emergency Medicine (Licence: FL APRN11026914) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-07-30 |