| NPI | 1649673765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18994) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC APN. 18994 APRN) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-04-27 |