| NPI | 1356594725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 230761) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004098) |
| 363L00000X Nurse Practitioner (Licence: AZ AP3136) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2014-08-26 |