| NPI | 1821026428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9289411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9289411) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9289411) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-07-24 |