| NPI | 1154690394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06773) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: LA RN064574) |
| 163W00000X Registered Nurse (Licence: LA RN064574) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2023-01-11 |