| NPI | 1215961131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5000972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18260) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-02-10 |