| NPI | 1134453848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN105125) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-12-07 |