| NPI | 1376707562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013211) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN221717) |
| 163W00000X Registered Nurse (Licence: CA 645901) | |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: GA RN221717) | |
| 363L00000X Nurse Practitioner (Licence: CA 17544) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-01-26 |