| NPI | 1902204746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9351358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9351358) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2019-05-15 |