| NPI | 1508234865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9417888) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-110471) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-22 |