| NPI | 1760734057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9430453) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95033094) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005815) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2019-01-03 |