| NPI | 1942881396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012709) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11012709) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11012709) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-06-01 |