| NPI | 1366815391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H127005) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 127005) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2025-02-05 |