| NPI | 1245364157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9191956) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9191956) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9191956) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL APRN9191956) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL ARNP9191956) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-03-22 |