| NPI | 1588055990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9268772) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60565190) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9268772) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60565190) | |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2024-05-21 |