| NPI | 1912283599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL Arnp9344456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 227392) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005384) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2018-11-15 |