| NPI | 1265860829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006531) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 238053) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2024-01-10 |