| NPI | 1467973008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA rn086498) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: GA rn086498) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |