| NPI | 1891232575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5009226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009226) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-03-30 |