| NPI | 1164800215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 237317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007938) |
| 363L00000X Nurse Practitioner (Licence: MD R205065) | |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2021-10-21 |