| NPI | 1316963911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 894998) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MS 894998) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-14 |