| NPI | 1285054510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9192208) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9192208) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18683) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2021-02-24 |