| NPI | 1740293828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 021703-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001599) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-11-20 |