| NPI | 1376971093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006554) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2024-04-24 |