| NPI | 1336335876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2819) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ tap2819) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-10-25 |