| NPI | 1427456698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11014068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9289526) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2022-01-06 |