| NPI | 1174580245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP04449) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 905286) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA RN061743) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 905286) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-04-20 |