| NPI | 1659354777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 300327) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 300327) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-07-18 |