| NPI | 1154558765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NE 111050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 122238) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2019-05-28 |