| NPI | 1942549852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010157) |
| 363L00000X Nurse Practitioner (Licence: VA 0024176143) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176143) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2024-02-06 |