| NPI | 1033549233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 24523) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2013041171) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2021-03-02 |