| NPI | 1942322359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI hiaprn380) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MA RN196413) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-11-10 |