| NPI | 1841350485 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005757) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11005757) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009271) | |
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2020-08-26 |