| NPI | 1821508243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9380412) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9380412) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9380412) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-05-24 |