| NPI | 1104213354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 79258) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NM RN-75312) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-08-09 |