| NPI | 1780725192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 100627) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MO 100627) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-03-04 |