| NPI | 1053505180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-099105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R877190) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9312984) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-01-25 |