| NPI | 1497084487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 075388-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN10002876) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010641) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2024-09-16 |