| NPI | 1982030052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN9294240) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9294240) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2023-10-16 |