| NPI | 1336446806 |
|---|---|
| Former Name | FLORA ANTIWI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 170032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170032030) |
| 363L00000X Nurse Practitioner (Licence: WI 170032) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2022-06-28 |