| NPI | 1982643987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ 160550) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F303127-1) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-07-21 |