| NPI | 1316681042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019109) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024186398) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-10-17 |