| NPI | 1013106236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 61885) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-066951) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-01-18 |