| NPI | 1316455751 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018768) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN168118) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11018768) | |
| Enumeration Date | 2018-01-19 | 
| Last Update Date | 2023-04-12 |