| NPI | 1851830418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 843117) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-10-24 |