| NPI | 1356523757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND F12230552) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ND R28126) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-03-04 |