| NPI | 1134523830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 884972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS F0814571) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2024-04-08 |