| NPI | 1780680116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 48) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 48) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2021-06-15 |