| NPI | 1427450444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AR 125765) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71007728B) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2020-09-21 |