| NPI | 1386696227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11018887) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 302565) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60120157) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3275772) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-06-24 |