| NPI | 1992702468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA P62779) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2019-05-20 |