| NPI | 1447503586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 62474) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R184241) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-10-25 |