| NPI | 1841523479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011383) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 22408) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2023-12-01 |