| NPI | 1235157439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 159783) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R128313) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-04-09 |