| NPI | 1750831327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005888) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 909546) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2022-03-31 |