| NPI | 1780825877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004302) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2023-11-03 |