| NPI | 1174178214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11013074) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24458) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309309) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-05-23 |