| NPI | 1306808233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2052122) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-06-05 |