| NPI | 1346281466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201759NC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200000675) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-07-15 |