| NPI | 1568444966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9458773) |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist | |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2021-07-22 |