| NPI | 1134285497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA 189661) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA 189661) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP340150) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-11-02 |