| NPI | 1427335306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-102846) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9212536) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2024-03-14 |