| NPI | 1497858732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 1328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 169332) |
| 363L00000X Nurse Practitioner (Licence: NC 5010219) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-03-17 |