| NPI | 1134543705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 205925) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R1809802) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-11-20 |