| NPI | 1376707299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19327) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 233962) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-08-30 |