| NPI | 1952530362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201703970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 107885) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2022-07-21 |