| NPI | 1548555451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201911318NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201911318NP-PP) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2799782) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2799782) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2023-12-13 |