| NPI | 1962048124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN1110726) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001146680) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0001146680) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2022-07-25 |