| NPI | 1487270971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11008805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9272229) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2022-05-18 |