| NPI | 1427415553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP-1666A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WY 36113.1478) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2022-07-22 |