| NPI | 1174947246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024186721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0190319) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0990971) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-03-17 |