| NPI | 1770940934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9470901) |
| 176B00000X Midwife (Licence: FL 343) | |
| 225500000X Specialist/Technologist (Licence: FL 3246) | |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 14-346) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP11004836) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-12-14 |