| NPI | 1508809153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11034587) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA AP04304) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-09-13 |