| NPI | 1144780909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 22720) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC SC22720) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-02-07 |