| NPI | 1962425652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110483) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H070586) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-05-10 |