| NPI | 1700972742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MT 101363) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MT RN26302) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MT 26302) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-11-27 |