| NPI | 1306861265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110767) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L116238) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-11-03 |