| NPI | 1376957480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006910) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5006910) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-07-29 |