| NPI | 1427399252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007150) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23171) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306341) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2022-09-01 |