| NPI | 1346516994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 172458) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-02-01 |