| NPI | 1841436243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176746) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9275045) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f302615) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2019-06-14 |