| NPI | 1023444338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008281) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN0000017662) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2018-05-10 |