| NPI | 1326013590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010121) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303051) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2021-02-10 |