| NPI | 1356768592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006688) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 091853) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-04-14 |