| NPI | 1881130870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL AG0117105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9340365) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL AG0117105) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AG0117105) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG0117105) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG0117105) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-11-14 |