| NPI | 1528499159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1259442) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL ARNP 1259442) |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2022-02-02 |