| NPI | 1396029187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9358792) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L138707) |
| 363L00000X Nurse Practitioner (Licence: VA 0024169643) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169643) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2024-09-11 |