| NPI | 1467487074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 024859-23-05) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 024859-23-03) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-07-21 |