| NPI | 1578671798 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11033167)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903708)  | 
| Enumeration Date | 2006-08-28 | 
| Last Update Date | 2024-10-14 |