| NPI | 1235301284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 3294022) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 3294022) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 3294022) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2023-11-06 |