| NPI | 1033523626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 291189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 291189) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9249332) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-03-07 |