| NPI | 1295043966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5008133) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 4346) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2022-07-21 |