| NPI | 1508142837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005403) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 146836) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2016-11-04 |