| NPI | 1003297342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243623) |
| 363L00000X Nurse Practitioner (Licence: NC 243623) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-08-30 |