| NPI | 1215362546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R46757) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111766) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-08-04 |