| NPI | 1750515649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000964)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0017162)  | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000225)  | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001270)  | |
| Enumeration Date | 2009-05-07 | 
| Last Update Date | 2022-11-14 |