| NPI | 1659686475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 21177) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-051106) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2022-07-21 |