| NPI | 1891744660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 00792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 00792) |
| 363L00000X Nurse Practitioner (Licence: SC 00792) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-10-29 |