| NPI | 1457782740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10010896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP5346) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2023-09-13 |