| NPI | 1740203108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO RN105145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN000995) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-05-23 |