| NPI | 1144579806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NV 810238) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC APN.18008 RX) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-10-28 |