| NPI | 1568793057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 112465) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 153881) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172608) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2023-03-14 |