| NPI | 1710398482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9282009) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9282009) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9282009) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-05-21 |