| NPI | 1114457314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009596) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MD NC5009506) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-03-12 |