| NPI | 1023126497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9264960) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9264960) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3636-033) | |
| 163W00000X Registered Nurse (Licence: NC 105507) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900407) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2021-01-13 |