| NPI | 1992282115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9415485) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 9415485) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 9415485) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-10-07 |