| NPI | 1255675484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3056612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804769) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL RN3056612) | |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2021-07-10 |