| NPI | 1588834485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AK 1050) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 0991601) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA 267400) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2019-03-05 |