| NPI | 1396014270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2800082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 64538) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308043) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201207068NP-P) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME 161170) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-10-27 |