| NPI | 1700462611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11036450) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11036450) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN290062) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-12-27 |