| NPI | 1124217963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 832216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3396033) |
| 163W00000X Registered Nurse (Licence: WI 140429030) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2022-11-15 |