| NPI | 1467711655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1071306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-071306) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-10-28 |