| NPI | 1265455976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 083236-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900237) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-11-18 |