| NPI | 1508816620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9334754) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110246) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H-103314) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-04-26 |