| NPI | 1740518026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 17735) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 17735) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2016-02-23 |