| NPI | 1699133819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9293464) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9293464) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 18248) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 18248) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2026-04-16 |