| NPI | 1023315785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9218820) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-09-26 |