| NPI | 1669885745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IA H171739) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 9234653-4405) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-01-30 |