| NPI | 1528557857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8605) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 216888) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2020-10-08 |