| NPI | 1548392442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 655) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC APRN 605) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 655) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-05-26 |