| NPI | 1417250788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 058859-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 058859-21) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2015-12-28 |