| NPI | 1144747114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R37185) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5440) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-01-07 |