| NPI | 1922053867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 143568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC R69095) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-11-27 |