| NPI | 1225350879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 127095) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004287) |
| 363L00000X Nurse Practitioner (Licence: CT 004287) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2023-11-27 |