| NPI | 1831424464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 10031284) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95008865) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 30306446) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-10-07 |