| NPI | 1639396914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R156558) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN966360) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MD R156558) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-03-07 |