| NPI | 1023312071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9308352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9308352) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1023486) | |
| 163W00000X Registered Nurse (Licence: DC RN1023486) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-08-15 |