| NPI | 1922399542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP02584) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3997) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R48437) | |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2023-06-14 |