| NPI | 1962840702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9262772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9262772) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9262772) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP 9262772) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-07-11 |