| NPI | 1326011552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 2666) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC A2666) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-11-23 |