| NPI | 1285685354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9220669) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2330669) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-04-20 |