| NPI | 1235250259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R624756) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-07-24 |