| NPI | 1750797197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-129391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18798) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-02-23 |