| NPI | 1831453620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 203685) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2020-04-08 |