| NPI | 1114157641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004983A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9239834) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-03-07 |