| NPI | 1477823466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9316487) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5008831) |
| 163W00000X Registered Nurse (Licence: NC 289292) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2016-08-22 |