| NPI | 1346344751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MT 100151) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MT RN19320) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-11-27 |