| NPI | 1275698284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 834163) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308061) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010236) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-03-07 |