| NPI | 1982975199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 214264) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2021-04-20 |