| NPI | 1437138013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H151123) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 065704) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H151123) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-12-07 |