| NPI | 1437572708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2311062) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22709) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 195437) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2018-04-04 |