| NPI | 1497053359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9250272) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20555) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20555) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2021-06-09 |