| NPI | 1659708899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 1655002) |
| Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control (Licence: FL ARNP1655002) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2015-11-18 |