| NPI | 1386997542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 24189) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R200655) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-11-12 |