| NPI | 1659822443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209014349) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95003935) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |