| NPI | 1619555745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11013295) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN256332) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-01-11 |