| NPI | 1700384948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9263550) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9263550) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9263550) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F02180053) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-12-26 |