| NPI | 1528470374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9301730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9301730) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-09-15 |