| NPI | 1972127447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11007582) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL RN9372763) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11007582) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-21 |