| NPI | 1013256064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 17360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 153602) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 3-000202) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2024-04-22 |