| NPI | 1447393897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 111426) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: MO 111426) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-09-19 |