| NPI | 1457424244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 23960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R30872) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-12-10 |