| NPI | 1184173098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WY 36050.1552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 36050.1552) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-11-03 |