| NPI | 1619270717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9233720) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9233720) | 
| Enumeration Date | 2010-12-10 | 
| Last Update Date | 2021-02-17 |