| NPI | 1528698396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005829) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 11005829) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2022-06-14 |