| NPI | 1215968789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900471) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 180071) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-02-22 |