| NPI | 1952563249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 267483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP002037C) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R879343) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R879343) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-02-05 |