| NPI | 1871009712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9388691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL Rn9388691) |
| 363L00000X Nurse Practitioner (Licence: FL F10170148) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-03-17 |