| NPI | 1942392816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9432148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007269) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 137630) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-05-11 |