| NPI | 1073507539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 3197882) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 568193) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 3197882) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-06-26 |