| NPI | 1851629075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5004680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 215662) |
| Enumeration Date | 2009-11-29 |
| Last Update Date | 2023-06-08 |