| NPI | 1346514536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R166920) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: MD R166920) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-07-21 |