| NPI | 1780713461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3125) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201404814NP-PP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301965) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-03-07 |