| NPI | 1780022590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9236018) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10007556) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000009) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024189534) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2025-01-08 |