| NPI | 1003960907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 878491) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MS R878491) |
| 363LF0000X Nurse Practitioner Family (Licence: MS R878491) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-10-03 |