| NPI | 1497765945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1059442) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-059442) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-02-01 |