| NPI | 1396758454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11028069) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002059) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-09-22 |