| NPI | 1003067448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0000181) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111014) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2021-04-28 |