| NPI | 1649054248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028830) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 000000000000) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-10-17 |