| NPI | 1467600940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 201150175NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 003857) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2017-11-16 |