| NPI | 1861853871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9246912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-152310) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9246912) | |
| 163W00000X Registered Nurse (Licence: FL 9246912) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9246912) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-08-08 |