| NPI | 1306817671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 086287) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-12-23 |