| NPI | 1588905228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H110594) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H110594) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A110594) | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2022-10-01 |