| NPI | 1235524570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5010553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010553) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP 9287478) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-06-19 |