| NPI | 1871960401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084922-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111891) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-06-24 |