| NPI | 1487803144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 23044) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704419013) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP81929) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-08-30 |