| NPI | 1326326794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NM CNP-02478) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP4000) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CT 005234) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2024-02-02 |