| NPI | 1295746295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201902536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP101010) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00101300) | |
| 363L00000X Nurse Practitioner (Licence: CA NP95013148) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-08-26 |