| NPI | 1124327382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NV 001929) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP4045) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2023-11-16 |