| NPI | 1295958148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3343442) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL ARNP3343442) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-03-01 |