| NPI | 1932492725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 1188652) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 1188652) |
| 364SE0003X Clinical Nurse Specialist, Emergency (Licence: FL 1188652) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2017-06-13 |