| NPI | 1275869596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP3354322) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 3354322) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-07-05 |