| NPI | 1356348189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11005244) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002564) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 002564) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-04-25 |