| NPI | 1770962235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 239851) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-08-30 |