| NPI | 1699742411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 471) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC APN471) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC A27281) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-11-09 |