| NPI | 1295177293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC006212) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1043287) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179747) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2025-01-23 |