| NPI | 1366771313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9441732) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 0000012780) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18611) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 0000012780) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 18611) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9441732) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2016-09-08 |