| NPI | 1306080403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN62242) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005179) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2023-08-23 |