| NPI | 1184819575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 116561) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 1166561) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2020-10-27 |