| NPI | 1659435410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 4228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001203663) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024167110) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-11-08 |