| NPI | 1912185687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R213927) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 660084) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2017-12-11 |