| NPI | 1235102195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 039418-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 039418-23) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-04-06 |