| NPI | 1871698563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9474400) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN RN0000064421) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 4539) | |
| 363L00000X Nurse Practitioner (Licence: GA RN290640) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-09-10 |