| NPI | 1639598352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009629) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704237869) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009629) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-11-12 |