| NPI | 1508004110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP5105) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71002854A) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-01-30 |