| NPI | 1902275480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 26162) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 6279) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2023-10-03 |