| NPI | 1851726707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 285556) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202200722NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 2013010948) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2023-09-25 |