| NPI | 1184050320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019011518) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1038413) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-07-31 |