| NPI | 1407251721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9294110) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015672) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015672) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5015672) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-11-15 |