| NPI | 1144702796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 58722) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 58722) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-02-25 |