| NPI | 1053650507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3189902) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL 3189902) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2021-12-16 |