| NPI | 1639825300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11018352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9432744) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-01-30 |