| NPI | 1790197234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9296646) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL RN9296646) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2282743) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2282743) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL RN9296646) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-04-22 |