| NPI | 1962819482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA 201356) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: ME CNP181269) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2021-01-18 |