| NPI | 1366709685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R888400) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-08-26 |