| NPI | 1750692588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007131) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 422755-1) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2015-06-26 |