| NPI | 1811679079 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11025280) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025280) | 
| Enumeration Date | 2023-08-07 | 
| Last Update Date | 2025-03-07 |