| NPI | 1235413188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1037618) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R205634) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9248485) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2021-01-25 |