| NPI | 1467499681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2115-030) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9396925) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN243746) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-02-11 |