| NPI | 1013295880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 79788) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2023-04-06 |