| NPI | 1861821324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 742015) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY F305964-1) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-04-29 |