| NPI | 1700199478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-83725) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2023-10-06 |