| NPI | 1851890016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 25891) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308547) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-05-02 |