| NPI | 1154545465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 2034) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 54-49227) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-03-07 |