| NPI | 1447809256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9322374) |
| 363L00000X Nurse Practitioner (Licence: FL 11004407) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-09-19 |