| NPI | 1093347445 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006009) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11006009) | 
| 163WH0500X Registered Nurse, Hemodialysis (Licence: FL 3340222) | |
| 363L00000X Nurse Practitioner (Licence: FL 11006009) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11006009) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11006009) | |
| Enumeration Date | 2020-02-04 | 
| Last Update Date | 2021-03-03 |