| NPI | 1972014926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9295839) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 9295839) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9295839) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-10-08 |