| NPI | 1144533324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004225) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 127505) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-02-21 |