| NPI | 1043265085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R116625) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003225) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-09-28 |