| NPI | 1508323312 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11000593) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11000593) | 
| Enumeration Date | 2019-02-28 | 
| Last Update Date | 2024-03-08 |