| NPI | 1770712846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006444) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 250413) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-03-03 |